Pleasant Valley Emergency Physicians

Pleasant Valley Emergency Physicians was paid $181K by Medicaid between Jan 2018 and Mar 2019, across 3 billing codes. Its largest line is 99283, emergency room visit (moderate) — 52% of everything it billed.

33Billing provider infoPLEASANT VALLEY EMERGENCY PHYSICIANS
PT PLEASANT, WV 25550

33aNPI1609975333assigned 09/21/2006

33bProvider typeEmergency Medicine Physician

28Total paid$181K

24GClaims3,667

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other Emergency Medicine Physician providers in West Virginia

Rank by total paid#25 of 87

Median peer was paid$75K

This provider vs. median2.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	3,653	$181K
2019	14	$522.62

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	52%	2,280	2,053	$94K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	32%	949	888	$59K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	16%	438	402	$29K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPAYNE, ROBIN (CREDENTIALLING SPECIALIST)